Individual
DR. MAURICE GUSTAF JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
280 RIVER PARK DR STE 360, PROVO, UT 84604-5835
(801) 437-7701
(801) 356-6326
Mailing address
280 RIVER PARK DR STE 360, PROVO, UT 84604-5835
(801) 437-7701
(801) 356-6326
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6700
NE
Other
Enumeration date
06/27/2007
Last updated
12/11/2020
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